Vaginal Tightening: Myths and Facts

Vaginal Tightening: Myths and Facts

Vaginal Tightening: Is my vagina too loose ? This is a question that haunts many women, and they often have no way of being sure. It is usually her man who raises this and complains of being dissatisfied. Women can feel the lack of friction too. A lot of ignorance and myths prevail about this highly sensitive and private matter. I see a a lot of women in my plastic surgery practise who suffer from this issue and who are desperate to improve their sex lives and satisfy their partner. But there are a lot more out there who suffer in silence. On google search, there are a lot of natural remedies, gels and pills on offer. There are lasers available to tighten the vagina, and then there is vaginal tightening surgery. Which one should the woman choose ? Do these things work? Are they safe? Let’s explore the facts and bust some myths .

What is normal vagina?

 Normal Vagina

Vagina is a tube like connection between uterus and external genitalia. Vagina opens into female external genitalia close to the opening of urethra and anus. A lot of women refer to whole external genital area as vagina. But in fact vagina is just one part of it. Female external genitalia include – Labia majora (outer vaginal lips), Labia minora (inner vaginal lips), clitoris, urethral opening and vaginal opening.

Vagina Tube Connection

Vagina is a tube of 3-4 inches length with elastic walls. Inner lining of the tube is vaginal mucosa and outer one is layer of smooth muscle. There are strong voluntary muscles called pelvic diaphragm and supporting structures called ligaments common to urethra, vagina and rectum that keep them supported. Normal vaginal mucosa lining the vaginal tube is not smooth, but has longitudinal folds called rugae. Vaginal mucosa is naturally lubricated and also has a mechanism to keep the ph at 4.5 . Lubrication and acidic ph together protect the vagina from injury and infections. In virgins there is usually (but not always) a structure called hymen at the entrance of vagina , which is a fold or diaphragm of vaginal mucosa, with an opening to allow menstrual blood flow .

 vaginal mucosa

Does Vagina become loose after sexual intercourse?

It’s a common myth, that vagina is never the same after virginity is lost. But nothing can be farther from truth.

Imagine vagina to be like a brand new sport sock. At rest normal vaginal length is 3-4 inches and width about 1 inch. But like a sock, vagina relaxes and stretches both width and lengthwise during sexual intercourse to accommodate the penis and to grip it. And springs back to normal resting stage soon after intercourse. Vagina does not get loose by having sex once or having sex for years even. Hymen is just a flimsy fold on way into vagina that gets torn first sexual intercourse. Think of hymen as a paper label on the sock, which is of no use per se, and which is discarded during first use.

What causes vagina laxity?

1. Childbirth: Studies done with MRI scan reveal that vagina gets larger after vaginal delivery.

Episiotomy, or cutting the muscle at the narrowest entry point of vagina is often needed during vaginal delivery. The cut is stitched back as soon as the baby is out, but wrongly performed episiotomy or vaginal tears during childbirth can damage the vagina and pelvic muscles permanently.

Damage during traumatic childbirth when baby is too big or when the head was stuck at vagina for too long or required forceps delivery, can lead to symptoms of looseness of vagina afterwards. In more severe cases of vaginal trauma during childbirth there can be additional symptoms of urine leak during coughing (stress urinary incontinence) and other urinary symptoms like need to run to washroom (urge incontinence ), prolapse or bulge of urinary bladder into vagina. Vaginal tears can extend into rectum or urinary bladder and can cause urine leakage into vagina (vesicovaginal fistula) or feces leaking into vagina (rectovaginal fistula). These complications are fortunately uncommon, and most couples do not have sexual issues after vaginal deliveries.

2. Age: With age there is loss of tone of muscles all over the body. Same happens to vagina too. Age factor comes into play after 30s and varies from woman to woman.

3. Injury: Trauma to vagina during forced intercourse and insertion of large objects can cause vaginal muscle injury and laxity.

4. Menopause is a common cause vaginal muscle laxity and dry vaginal mucosa.

Is my vagina loose?

A lot of women want to know, if their vagina is too loose . This question comes up in following scenarios:

  1. Husband or long time partner who was satisfied earlier, is complaining .
  2. You don’t feel the penis in your vagina
  3. You are starting a new relationship, and you are apprehensive that your vagina may be loose

This is a simple test you can do at home. Insert 2 fingers into vagina and try to grip it, If you can feel the grip, and maintain it for 3 minutes, your vagina is not loose. If you can hold a tampon inside vagina and walk around, you are normal. If you are young and healthy and have had normal vaginal intercourse once or many times even but have not had vaginal delivery and you can do all of the above , you can be rest assured that your vagina is not loose.

You may be loose if:

  1.  You don’t feel the fingers
  2.  You can not grip them
  3. You can introduce much more than 2-3 fingers inside
  4.  You have symptoms urine leakage when coughing or lifting weight
  5. You have vaginal fart like sounds during intercourse due to air getting in, beside penis.

In case of doubt, you should see a gynaecologist or plastic surgeon who specializes in vaginal rejuvenation, to confirm the diagnosis . We diagnose it clinically by doing vaginal exam. No specific tests are required to diagnose vaginal laxity.

A common scenario is when woman has a normal vagina on examination, but sexual intercourse is not satisfactory due to mismatch of sizes of vagina and penis of the partner. Sometimes it is the male who has weak erection or smaller penis. This sexual mismatch should be diagnosed and addressed for best result.

Natural way of tightening vagina:

Vaginal Tightening exercises are the best and the first option for vaginal tightening. Vaginal tightening Kegel exercises are simple and they strengthen and maintain the tone of vaginal muscles. Kegel vaginal exercise involves pulling in your vaginal muscles like when you are tightening your muscles to stop urine. You should hold this to the count of 10 and then relax. You can do this exercise in bed or even at your desk, without anyone knowing. Do this for 5 minutes 3 times a day and you will see the result in a couple of weeks. You can do more and continue it all your life to maintain the tone of vaginaObesity is associated with lack of tone of body muscles. Exercising regularly and maintaining healthy weight can further help you.

What about vaginal tightening gels and creams ?

Vaginal tightening creams may work on mucosa but not on muscles that are deep inside. Vaginal tightening requires tighter muscles, which are outside the reach of gels and creams. Vaginal creams claiming to tighten vagina contain some herbal ingredients that may produce tingling sensation or temporary increase in blood supply. At best, it can improve the sensation of sex mildly and temporarily.

Are vaginal tightening creams safe? Vagina maintains a healthy ph of 5.5 and a normal flora of harmless organism that keep it healthy and infection free. Introducing untested drugs into vagina can alter the ph and introduce infections. Unknown ingredients of creams can cause

Vaginal Tightening Lasers: 

Vaginal Tightening Laser Treatment

Laser devises are used for non-surgical vaginal rejuvenation. There two types of vaginal devices for nonsurgical vaginal rejuvenation – Laser based like Femilift and Radiofrequency based like ThermiVa. These are similar to the machines that are used to tighten and resurface the skin, by dermatologists and plastic surgeons. These machines have probes that are gently inserted into vagina and laser or RF energy is delivered all around the vaginal walls. Laser energy penetrates the vaginal mucosa and creates microinjury upto few mm depth. This microinjury heals in 4-5 days and causes new collagen generation that leads to vaginal tightening. RF based devices heat the tissues and produce result similar to laser devices.

Laser vaginal rejuvenation is painless . There is no bleeding ,no need for rest and no restriction on activity , except that penetrative sexual intercourse should be avoided for 4-5 days . For best result in 3 sittings of laser vaginal rejuvenation are required at monthly intervals . Results of Laser vaginal tightening last upto one year.

But the flip side is that Laser vaginal rejuvenation works only for mild cases of vaginal laxity. Laser vaginal rejuvenation works best women after menopause who suffer from dryness and pain during intercourse.

Vaginal Tightening Surgery (Vaginoplasty): Vaginal tightening surgery is the most effective way of tightening loose vagina. Vaginoplasty surgery is done under local or general anaesthesia depending on the severity of the problem. During surgery muscles of vagina and pelvic diaphragm are tightened with sutures. Vaginal mucosal folds are recreated and external vaginal opening is narrowed. Vaginoplasty surgery can be combined with other surgeries if needed -like hymen reconstruction, labia surgery and fat injections. There are fine absorbable stitches in vagina which dissolve in 2 weeks leaving a virtually scarless and rejuvenated vagina. Absteinance from sex for 1 month following the surgery is advised. Results of surgery are permanent, and can be maintained by vaginal exercises.

What is the best option for me – laser vaginal rejuvenation or vaginoplasty surgery?

This can be best determined by the doctor who has experience of both the technologies. Natural choice of women is to opt for less invasive method like laser because it has advantages of no rest, no pain and no surgery. Laser vaginal tightening is useful in cases where on examination vagina seems normal but still woman or her partner are not satisfied. In such cases Laser is a good option , as mild improvement may suffice. Laser is also the first choice for women who have not had any injury or vaginal deliveries.

Vaginoplasty surgery is the best option when there when vaginal laxity is moderate to severe. Advantages of surgery are – one time treatment and permanent results. Vaginoplasty surgery is safe when performed by experienced plastic surgeon or gynaecologist. Excess tightening can cause problems and should be avoided.

PRP (platelet rich plasma) therapy, fat injections and Filler injections for vaginal rejuvenation:

All of the above are helpful in nonsurgical vaginal rejuvenation. Platelet rich plasma is prepared from 10 cc of your own blood , and it contains platelet-derived growth factors. PRP can be injected into vaginal mucosa , at G spot in vagina (G shot) and into external genitalia to facilitate antiageing and health of mucosa.

Fat injection technique is useful in cases where external genitalia and vagina are shrunken and atrophic. Fat is sucked out in syringes from any other fatly body part and injected into the vaginal walls and labia. Fat makes labia plump and adipose stem cells found in fat contribute to collagen and vascular regeneration in vagina.

Hyaluronic acid fillers like Juvederm and  Restylene can also be used instead of fat, to plump the vagina. All these can be combined with laser vaginal rejuvenation or vaginoplasty to enhance vaginal look and feel.

Pregnancy and childbirth need not be the end of sexually satisfied life. With the right treatment vagina can be restored to its original condition. Once again though, a word of caution. Its sometimes the man who may be having the problem. So in case of sexual dissatisfaction its best if both the partners get themselves checked.

ABOUT DR. PRITI SHUKLA:

DR. Priti Shukla

Dr. Priti Shukla is the best female cosmetic surgeons in Hyderabad. She has 18 years of experience in cosmetic plastic surgery and thousands of satisfied patients. Ambrosia Clinic is leading skin plastic surgery clinic of Hyderabad since 2009. Our team of dermatologist and Plastic surgeons at Ambrosia clinic offer services like hair transplantation, laser, skin care and plastic surgery.

Hymenoplasty: It’s More Than Just Revirginising!

Revirginising Hymen

Hymenoplasty: Virginity.

As much as it’s a taboo word, yet, inside closed rooms and in hushed voices, it’s this ‘virtue’ that’s much discussed, painting a woman’s character by its mere presence or absence.

Hymenoplasty Surgery in Hyderabad

It’s so hyped that many women undergo tremendous stress when they lose their virginity. Just to get things in order, virginity is lost when the hymen is torn. While in most common cases this happens due to intercourse, it isn’t mandatory that it’ll happen only because of that. Vigorous physical activities can also contribute towards it.

Going back to what I was talking about, when a girl/woman is certain that she has lost her virginity, when she was not supposed to, for instance before marriage, it’s a matter of concern. When Natasha walked into my clinic, she was in a state of panic.

Having been in a live-in relationship with her ex-boyfriend, her life was full of hearts and roses, till the time the hearts had gone and the roses had faded. With time, her boyfriend transformed into an abusive beast and before she knew it, he would be raining blows on her every other day. Shaken mentally and hurt physically, she gathered her guts and walked out of the toxic relationship. She slowly mended her broken heart, and she was finally ready to move on. Great things were happening to her career-wise and her parents decided it was time for her to settle down. They found her a perfect match and she couldn’t be happier.

Then what could have possibly caused her to slip into this zone?

While her broken heart healed, her broken hymen remained so. A few months before her marriage, she realized how much emphasis an arranged marriage laid on virginity. Even though she was a modern girl and felt there was no need to stress on virginity, yet, she also knew the kind of family she was getting married into. Natasha resorted to Google to give her a possible solution. One thing led to another and she turned up at my clinic, wanting to know more about hymenoplasty surgery after having read the blogs and reviews on Ambrosia’s website.

Hymen Reconstruction

I spoke to her and helped her relax by telling her that I could give her back her lost virginity through hymenoplasty surgery. Thanks to the hymenoplasty surgery, Natasha was ‘revirginised’. Even though the importance given to virginity is debatable, yet, for many, hymenoplasty surgery has proved to be a boon in some way or the other.

Then there was a patient called Nazma. The story of her life stirred me deeply. Since the tender age of 5, Nazma has been sexually abused by her own uncle. For a long time, she thought her uncle loved her and this was his way of express his fondness for his niece, and even though she wouldn’t like the way he would touch her, she would console herself thinking she was ‘special’. She was instructed by him not to tell anybody about this, but when he raped her for the first time, it hurt her, but more than that, left her in a state of shock and utter confusion. When these episodes increased in frequency, she had reached an age where she could tell that it was wrong. While she managed to shoo the uncle off, there was not much she could do against him.

Scarred and scared, Nazma wanted to begin a new chapter in her life. But, her virginity was lost to man she detested. When she confided into her room-mate, she was suggested to undergo hymenoplasty surgery, but she was sceptical. What if somebody would find out? What if it would be unsuccessful? With so many questions in her mind, she almost put the thought of hymenoplasty surgery on the backburner.

Reconstruction Hymen

So, when she finally decided to take a step closer to hymenoplasty surgery, she consulted me, and I put her worries to rest. At Ambrosia, we respect patient privacy and give utmost importance to the patient’s requirements before going for any procedure, especially hymenoplasty surgery. Assuring her of comfort, clarity and correct results, I told her how her hymenoplasty surgery will be done. After taking a look at the state-of-the-art facilities, advanced technology and the reviews, she went for it.

Nazma’s hymenoplasty surgery was performed under local anesthesia. Once the hymenoplasty surgery was done, Nazma was scared, but upon a closer look, she was absolutely relieved that there were no scars and that the discomfort was minimal. The hymenoplasty surgery helped her close the chapters of her painful past,

Now, she leads a peaceful life. She is thinking of getting married, too. But for her, social work takes priority. She is now lending a helping hand and an alert ear to other children who have gone through sexual abuse.

One decision can change your lives. It could be either for the better, or for the worse. The choice is yours.

About the clinic and doctor

Dr. Priti Shukla

 

Dr. Priti Shukla is the best female cosmetic surgeons in Hyderabad. She has 18 years of experience in cosmetic plastic surgery and thousands of satisfied patients. Ambrosia Clinic is leading skin plastic surgery clinic of Hyderabad since 2009. Our team of dermatologist and Plastic surgeons at Ambrosia clinic offer services like hair transplantation, laser, skin care and plastic surgery.

Patients Guide To Hymenoplasty Surgery Procedures

Hymenoplasty Surgery

Hymenoplasty Surgery: In a country like India, virginity is almost like a virtue, and the lack of it, well, a perceived vice. It’s obvious therefore, that there’s a lot at stake when it comes to a woman’s hymen. Now, it needn’t just be sexual intercourse that might cause the hymen to tear, but a host of other reasons like sports and other physical exercises that could cause it to tear.

Before we get to the root of everything, let’s first understand what is this much hyped hymen?

The hymen is a membrane that partially or completely closes the opening of a vagina. Hymens can be thick or stretchy or completely absent. Various activities like swimming, horseback riding, sexual intercourse, medical examination etc. may also cause the hymen to tear or wear off.

Hymenoplasty

For cultural reasons or personal preferences, some women prefer an intact hymen. Hymenoplasty procedure is a surgery which restores the hymen in a vagina. There are three ways to go about it:

  • Hymen Stitching: The basic technique in hymenoplasty surgery is to stitch up the broken hymen or to stitch up the remaining hymen. The sutures are generally dissolvable. So, there is no need for the patient to go back to the clinic for removing the sutures. A local or general anaesthesia may be used during the procedure to reduce pain or discomfort. It takes around 30-40 minutes for the restoration process and the patient is allowed to go back home. Full recovery can be attained within weeks after the procedure.
  • Hymen Reconstruction: If the remaining hymen tissue is not enough for stitching, a hymenoplasty surgery may be done. For hymen reconstruction, the doctor will harvest live tissue from your body to reconstruct your hymen. Generally, the best-matched tissues will be found in the inner labia. Even this procedure is done on an outpatient basis and the surgery requires only a couple of hours. The patient can go back to normal life in 3-4 days.Although, after a hymen reconstruction you should abstain from sexual intercourse for three months. When recovered fully, it will fully function like a hymen including bleeding and a sensation of discomfort while tearing.
  • Alloplant technique: When there are no suitable tissues in the body for hymen reconstruction, an artificial method can come to the rescue. An alloplant is a chemically processed biomaterial. It is often used in transplantation. In the alloplant technique of hymenoplasty surgery, instead of an actual hymen, an alloplant is inserted. It will give the tear-through experience just like a hymen . This is the last option when nothing else is possible.

Hymenoplasty surgery is a well tested and frequently practised procedure. It involves little risk when it is done by a skilled and experienced surgeon. So, make sure that you find the best doctor and explain her your exact requirements.

About the clinic and doctor

Dr. Priti Shukla

 

Dr. Priti Shukla is the best female cosmetic surgeons in Hyderabad. She has 18 years of experience in cosmetic plastic surgery and thousands of satisfied patients. Ambrosia Clinic is leading skin plastic surgery clinic of Hyderabad since 2009. Our team of dermatologist and Plastic surgeons at Ambrosia clinic offer services like hair transplantation, laser, skin care and plastic surgery.

The Hidden Beauty…Revirginize it and feel Beautiful!

Revirginize: The very thought and idea of getting back virginity, had probably emerged centuries back. But the stories we hear, are practically unbelievable to the modern man. Back then, there were super powers that protected these blessed women to get back their virginity by just undergoing severe penance, or bathing in the holy rivers!

Over time when the world entered a new era, the super powers faded, and women became a much underrated gender of the society for reasons still not known. The society became more rigid with customs and rules that women were compelled to follow, and virginity became a woman’s purity check!

With the changing world, there has been a rise in a lot of unwilling professions for women, especially in many Asian countries including India largely. For some it is a compulsion, and for some it’s just pleasure.

Becoming a virgin again…

As a doctor, in my 16 years of practice I have seen an increasing number of women from northern and western India opting for a Hymenoplasty surgery. With the growing lifestyle changes, women from the southern states have also been on a high rise in opting for a hymen reconstruction.

Binita Singh (Name Changed) who came from Warangal seemed embarrassed at the beginning of her consultation. She repeatedly urged not to mention or specify the nature of her surgery in her discharge certificate. She seemed worried and did not want even her family to know about her surgery, so much so, that even the telephone number and emergency contact details she gave were false. The lady, in her twenties, was unmarried, and it was quite evident that she had lost her virginity quite early. She was about to get married and was presumably worried about her future. She took some time coming to the point, and was full of apprehension when she finally started opening up. We assured her of being professionally confidential with our clients after which she felt comforted.

Hymenoplasty in layman’s words, means getting a woman’s virginity back with a plastic surgery of the Hymen!

The Cosmetic Solution to regain virginity

With modern advancements, the medical system has been armed with cosmetic solutions for the women today. Plastic surgeons and Gynecologists across the country are recreating female virginity with a simple 40-minute procedure.

What is a Hymenoplasty?

“Hymen” is an incomplete mucosal wall or delicate membrane at the entry of the vagina. It has no purpose in body. Hymenoplasty is plastic surgery of the hymen. It is a painless surgery that reconstructs the hymen, which tears during sexual intercourse, or trauma.

Why do people want a Hymenoplasty?

Hymenoplasty is a growing trend today. The list of takers is growing year by year — young upwardly mobile women between relationships, middle-aged women looking for sexual pleasure, sex workers quitting the trade to marry or to gratify fussy clients, rape victims wanting to undo the trauma and would-be-brides afraid of honour killings are the ones mostly at the nip & tuck, to avoid any problems in their marriages. Most of these women come affluent families, big cities and not rural belles. We perform at least two hymenoplasty every month, at our Ambrosia Clinic in Hyderabad.

The numbers have definitely increased over the last five years, but I wouldn’t call it a dramatic increase. It’s mostly unmarried, young women, at least 60 per cent of whom are college students. They are far too worried about what their families, and the prospective grooms will say, so they insist on getting the procedure done.

Can virginity be restored? 

Yes, Of course! Once a Hymenoplasty is performed, it bleeds on having intercourse like a normal vagina usually does, and looks 100% natural with absolutely no traces of any surgery being detected.

How is it done?

Hymenoplasty is a short surgical procedure, usually performed under a local anesthesia. The plastic surgeon stitches up the torn edges of the hymen with fine dissolvable sutures, leaving no signs of any surgery being done. The sutures dissolve and the recovery takes about a week. There is no pain during or after the surgery. However, in case of any discomfort, the patient must immediately inform the doctor to avoid any possible risks and complications.

When should it be done?

You can get a hymenoplasty done any time as per your wish, but if you are unmarried, it is advisable at least one month before marriage. Once the surgery is done, it is as normal as the original, and won’t break until sexual intercourse is resumed again.

Does it require rest post surgery?

No rest is needed surgery post surgery. You can be as normal as you were before the surgery with precautions and advices that your doctor gives you.

Does hymenoplasty also tighten the vagina?

The vagina in young women is usually tight. It gets loose with normal delivery, age or obesity. If you want to get a vaginal tightened, and if your doctor also advises the same, it calls for an additional surgery which can be done along with the hymenoplasty surgery. A vaginal tightening is also a scarless and undetectable procedure.

How safe and effective is the procedure?

Hymenoplasty is a safe procedure as it does not involve any foreign material being used. The sutures that we use are made of dissolvable material and the natural membrane grows over the sutures covering it and forms a new natural mucosal membrane just like the original hymen.

Will there be any future problems during pregnancy?

No. There are no risks with regard to future pregnancies.

Can it be done more than once?

Yes. A hymen reconstruction is a very small stitch procedure that can be done more than once and is also safe to be done more than once.

Who normally get it done?

It might surprise many people that this procedure is one of the most popular among young women world over, and women have been known to travel long distances for this procedure.

So what kind of patients do clinics usually come across?

Well, just about everybody…

There are:

  • Women who already have children, but wish to surprise their partners
  • Women whose hymens have ruptured over the course of their lives
  • Women who belong to rigid ethnic backgrounds that consider an intact hymen to be the proof of virginity
  • Victims of rape
  • To be brides
  • Women who wish to feel young again

In short, the list keeps growing. The patients are as varied as their stories, are usually within the range of 21 to 27 years. But in so many years of experience, I have seen women as young as 18 and as mature as 45 who want a hymen reconstruction to be done.

So on the note of International Women’s Day, Ambrosia Clinic wishes you, and assures that you’re in safe hands if you are willing to revirginize yourself! 

About clinic and doctor

Dr. Priti Shukla is the best female cosmetic surgeons in Hyderabad. She has 18 years of experience in cosmetic plastic surgery and thousands of satisfied patients. Ambrosia Clinic is leading skin plastic surgery clinic of Hyderabad since 2009. Our team of dermatologist and Plastic surgeons at Ambrosia clinic offer services like hair transplantation, laser, skin care and plastic surgery.